Cargando…

Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations

Lower lumbar spine burst fractures make up only 1% of all lumbar spine fractures. A burst fracture with neurological compromise, ligamentous injury, severe kyphotic deformity, or loss of anterior column support typically requires surgical stabilization. Treatment options at the L4 and L5 levels are...

Descripción completa

Detalles Bibliográficos
Autores principales: Gassie, Kelly, Erben, Young, Fortich, Susana, Carames, Gian P, Sandhu, Sukhwinder Johnny S, Abode-Iyamah, Kingsley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572031/
https://www.ncbi.nlm.nih.gov/pubmed/34760422
http://dx.doi.org/10.7759/cureus.18579
_version_ 1784595143236517888
author Gassie, Kelly
Erben, Young
Fortich, Susana
Carames, Gian P
Sandhu, Sukhwinder Johnny S
Abode-Iyamah, Kingsley
author_facet Gassie, Kelly
Erben, Young
Fortich, Susana
Carames, Gian P
Sandhu, Sukhwinder Johnny S
Abode-Iyamah, Kingsley
author_sort Gassie, Kelly
collection PubMed
description Lower lumbar spine burst fractures make up only 1% of all lumbar spine fractures. A burst fracture with neurological compromise, ligamentous injury, severe kyphotic deformity, or loss of anterior column support typically requires surgical stabilization. Treatment options at the L4 and L5 levels are challenging and often require an anterior/posterior approach. Very little has been reported on anterior approaches to the L4 and L5 levels when a corpectomy is required. Hence, we present a patient with a complex burst fracture of L4 and L5. She underwent a corpectomy of L4 and L5 and placement of an expandable cage through a window created between the aorta and the inferior vena cava via an anterior transperitoneal abdominal approach followed by posterior stabilization and fusion from L2 to the pelvis.
format Online
Article
Text
id pubmed-8572031
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-85720312021-11-09 Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations Gassie, Kelly Erben, Young Fortich, Susana Carames, Gian P Sandhu, Sukhwinder Johnny S Abode-Iyamah, Kingsley Cureus Cardiac/Thoracic/Vascular Surgery Lower lumbar spine burst fractures make up only 1% of all lumbar spine fractures. A burst fracture with neurological compromise, ligamentous injury, severe kyphotic deformity, or loss of anterior column support typically requires surgical stabilization. Treatment options at the L4 and L5 levels are challenging and often require an anterior/posterior approach. Very little has been reported on anterior approaches to the L4 and L5 levels when a corpectomy is required. Hence, we present a patient with a complex burst fracture of L4 and L5. She underwent a corpectomy of L4 and L5 and placement of an expandable cage through a window created between the aorta and the inferior vena cava via an anterior transperitoneal abdominal approach followed by posterior stabilization and fusion from L2 to the pelvis. Cureus 2021-10-07 /pmc/articles/PMC8572031/ /pubmed/34760422 http://dx.doi.org/10.7759/cureus.18579 Text en Copyright © 2021, Gassie et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Gassie, Kelly
Erben, Young
Fortich, Susana
Carames, Gian P
Sandhu, Sukhwinder Johnny S
Abode-Iyamah, Kingsley
Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations
title Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations
title_full Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations
title_fullStr Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations
title_full_unstemmed Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations
title_short Multilevel L4 and L5 Corpectomy for Burst Fracture via an Anterior Transperitoneal Approach Followed by Posterior Stabilization: Technical and Anatomic Considerations
title_sort multilevel l4 and l5 corpectomy for burst fracture via an anterior transperitoneal approach followed by posterior stabilization: technical and anatomic considerations
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572031/
https://www.ncbi.nlm.nih.gov/pubmed/34760422
http://dx.doi.org/10.7759/cureus.18579
work_keys_str_mv AT gassiekelly multilevell4andl5corpectomyforburstfractureviaananteriortransperitonealapproachfollowedbyposteriorstabilizationtechnicalandanatomicconsiderations
AT erbenyoung multilevell4andl5corpectomyforburstfractureviaananteriortransperitonealapproachfollowedbyposteriorstabilizationtechnicalandanatomicconsiderations
AT fortichsusana multilevell4andl5corpectomyforburstfractureviaananteriortransperitonealapproachfollowedbyposteriorstabilizationtechnicalandanatomicconsiderations
AT caramesgianp multilevell4andl5corpectomyforburstfractureviaananteriortransperitonealapproachfollowedbyposteriorstabilizationtechnicalandanatomicconsiderations
AT sandhusukhwinderjohnnys multilevell4andl5corpectomyforburstfractureviaananteriortransperitonealapproachfollowedbyposteriorstabilizationtechnicalandanatomicconsiderations
AT abodeiyamahkingsley multilevell4andl5corpectomyforburstfractureviaananteriortransperitonealapproachfollowedbyposteriorstabilizationtechnicalandanatomicconsiderations